Patient Services Rep-Moorestown
cooperhealth
Clinical Review RN PRN
cooperhealth· RNs
About this role
About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
- Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity. Performs utilization review in accordance with all state mandated regulations.
- Consults with Physician Advisor to discuss medical necessity, length of stay, and appropriateness of care issues.
- Identify and manage concurrent and retroactive denials through communication with attending physicians, case management, multidisciplinary team, external physician resource group and payers.
- Completes documentation of review and denial processes in the EPIC Case Management Module. Responds to requests from the payer for all required information and treatment plans.
- Reviews and validates physician’s orders, reports progress and unusual occurrences on patients to the payer.
Experience Required
3-5 years of recent clinical experience, preferably in area of population specialty.
Experience in utilization management or review preferred.
Knowledge and understanding of disease protocols and clinical pathways for commercial and government payors. Familiarity with Interqual and Millimen guidelines and regulatory mandates preferred.
Strong communication (written and verbal) and critical thinking skills required. Professional and effective presentation skills required.
Education Requirements
Bachelor’s degree in Nursing preferred
License/Certification Requirements
Current NJ-RN License required.
Special Requirements
Monday availability is required.
Salary Min ($)
USD $37.00Salary Max ($)
USD $61.00Frequently Asked Questions
Is the salary disclosed for the Clinical Review RN PRN position at cooperhealth?
The salary for this Clinical Review RN PRN role at cooperhealth is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Clinical Review RN PRN position at cooperhealth located?
This Clinical Review RN PRN role at cooperhealth is based in Camden, NJ, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Clinical Review RN PRN role at cooperhealth full-time or part-time?
This is listed as a OTHER position. It is posted as a Clinical Review RN PRN role in the RNs department at cooperhealth.
Which team or department does the Clinical Review RN PRN at cooperhealth belong to?
This Clinical Review RN PRN position is part of the RNs department at cooperhealth. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Clinical Review RN PRN position at cooperhealth?
Click the "Apply Now" button on this page. You will be redirected to cooperhealth's official application portal hosted on icims where you can submit your application directly.
When was the Clinical Review RN PRN job at cooperhealth posted?
This Clinical Review RN PRN position at cooperhealth was posted on Jun 24, 2026. Apply as soon as possible — early applications are often reviewed first.
Clinical Review RN PRN
cooperhealth
You'll be redirected to cooperhealth's official application page on icims.